Individual
DR. ROBERT GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9169 COORS BLVD NW, ALBUQUERQUE, NM 87120-3101
(505) 346-2306
(505) 346-2311
Mailing address
PO BOX 67830, ALBUQUERQUE, NM 87193-7830
(505) 346-2306
(505) 346-2311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12081
MD
122300000X
Dentist
7096
CO
122300000X
Dentist
Primary
DD2023
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631558
—
AZ
05
—
B4827
—
NM
Enumeration date
08/01/2006
Last updated
07/08/2007
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